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Hemifacial spasm (HFS) is a rare neuromuscular disease characterized by irregular, involuntary muscle contractions on one side (hemi-) of the face (-facial). [1] The facial muscles are controlled by the facial nerve (seventh cranial nerve), which originates at the brainstem and exits the skull below the ear where it separates into five main branches.
Enlargement of the perioral and periorbital soft tissues (the tissues of the face around the mouth and the eyes). The facial skin may be dry, exfoliative (flaking) or erythematous. [2] Cervical lymphadenopathy (enlarged lymph nodes in the neck). [2] Facial palsy (weakness and altered sensation of the face). [2]
Buccal space abscesses typically cause a facial swelling over the cheek that may extend from the zygomatic arch above to the inferior border of the mandible below, and from the anterior border the masseter muscle posteriorly to the angle of the mouth anteriorly. [1] Unless another space is also involved, the tissues around the eye are not swollen.
The submental space is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space located between the mylohyoid muscle superiorly, the platysma muscle inferiorly, [1] under the chin in the midline.
"Cortisol face" is a viral term to describe facial swelling, allegedly caused by high levels of cortisol. Can stress cause a puffy face? Experts weigh in and debunk the condition.
Angioedema is an area of swelling of the lower layer of skin and tissue just under the skin or mucous membranes. [1] [3] The swelling may occur in the face, tongue, larynx, abdomen, or arms and legs. [1] Often it is associated with hives, which are swelling within the upper skin. [1] [3] Onset is typically over minutes to hours. [1]
Deformity in the face, for example a sunken cheekbone or teeth which do not align properly, suggests the presence of fractures. Asymmetry can suggest facial fractures or damage to nerves. [ 3 ] People with mandibular fractures often have pain and difficulty opening their mouths and may have numbness in the lip and chin. [ 4 ]
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